MATTHEW J VELSMID MD
Controlled Substance Registration for Practitioner


Address: 625 Bagley Rd, Southbury, CT 06488-4420

MATTHEW J VELSMID MD (Credential# 413964) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MATTHEW J VELSMID MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038049. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 625 Bagley Rd, Southbury, CT 06488-4420. The current status is active.

Basic Information

Licensee Name MATTHEW J VELSMID MD
Credential ID 413964
Credential Number CSP.0038049
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 625 Bagley Rd
Southbury
CT 06488-4420
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-08-22
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-26

Other licenses

ID Credential Code Credential Type Issue Term Status
561260 1.043678 Physician/Surgeon 2005-07-27 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 625 BAGLEY RD
City SOUTHBURY
State CT
Zip Code 06488-4420

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Competitor

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City SOUTHBURY
Zip Code 06488
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHBURY

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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